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- r- <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857-www.everettwa.arg q ap �IZ <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � I� ��� <br /> � q � � �J� �C�l�.7C�- <br /> w <br /> PROJECTADDRESS <br /> Motorcycle Goodies 1911 Broadway, EVERETT, WA 982014252524595 <br /> Owner Meil Address Cily State2ip Phme <br /> Tenant Meil Address Ciry Slale2ip Phone <br /> ADT LLC 11824 N CREEK PKWY N, SUITE #105 BOTHELL WA 98011 360-945-2787 <br /> ElectricalContractor MaitAddress Cily Stele2ip Phme <br /> ADTLLL*881 DO 75.00 <br /> State License Number Contract Prke of Work <br /> Commercial Jennifer Burgess (Agent) <br /> Proposed Use of Bullding Contact Person (Plan Review) <br /> Description of Woik to Be Done: <br /> ADD ONE DEVICE TO EXISTING LOW VOLTAGE BURGLAR ALARM SYSTEM <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I hereby certlly that l have read antl examined thls applkation and know the same to be true and <br /> correct. All provisions o/laws antl ordinances govemmg this rype�ork will be completetl /� '!lo/� , � �� <br /> �vhetnerspecdied herein or not. The granting ol a permrt does not esume to give authonty to I�, D� "1 • <br /> vio/ate or cancel the provisbns o!any other state or local law regu a6ng consVuction or the l.J <br /> pe�tormance ol const�uction. That I am authaaetl by the owner o/Nis property ro peAorm the <br /> work forwhich appli�ation is made antl I compty with the State Con�actors Law 1827 RCW and <br /> 296.200 WAC. <br /> ow+r�nwpw�+�t.�.rn� <br /> .lennifer Burgess ��,;""'"'°�'°""�""1p4p 09/20/2012 <br /> p�A�,,.�.w,�._M.,�,.�.�.. <br /> py��pllpKlll�IlL1EO <br /> igneture a e <br />